Parapagus Conjoined Twin : A Case Report

This case was brought to our antenatal outpatient department at Bheri Hospital as a referral case from another center. She is a 23-year-old G3P1 at 20w2d gestation with one prior abortion. In her two Ultrasonographies done in a local clinic, no anomaly was detected, and she was referred for a routine anomaly scan through which conjoint parapagus twin was made. The treatment plan and outcome were discussed with the patient for a conjoined twin dicephalic parapagus type. Medical termination of pregnancy was performed, and she delivered a conjoined female of birth weight 1800 grams. This case illustrates the diagnostic and management challenges of dicephalus parapagus conjoined twins. Reporting such rare cases helps guide counseling, imaging, and individualized management in similar situations.